Surgical stapler tops list of health technology hazards

Surgical staplers are the No. 1 health technology hazard for 2020, according to a new ranking from ECRI Institute. The devices, which are complex and require meticulous technique, can have fatal consequences when misused. And it’s not the only device to present a risk to patients. With the proliferation of new technology in healthcare, there are new potential hazards for patients that can cause serious harm or even death.

Medical mistakes are a leading cause of death in America, causing hundreds of thousands of deaths annually. Healthcare organizations should be aware that technology mistakes can have similar results, particularly as new technologies emerge and are implemented beyond the acute care setting.

ECRI Institute, a nonprofit organization that focuses on safe, cost-effective care in medical practices and products, ranked the top 10 health technology hazards for 2020.

Here are the top 10:

  1. Misuse of surgical staplers
  2. Lack of safeguards in point-of-care ultrasound
  3. Infection risks from sterile processing errors
  4. Hemodialysis risks with central venous catheters
  5. Unproven surgical robotic procedures
  6. Overload of alarms, alerts and notifications
  7. Cybersecurity risks in connected home healthcare
  8. Missing implant data in MRI scans
  9. Medication errors from dose timing discrepancies in EHRs
  10. Loose nuts and bolts and medical device failure

Since 2011, 42 deaths and more than 100,000 incidents with surgical staplers have been reported to the FDA, including 11,181 serious injuries and 98,404 malfunctions, according to ECRI Institute. Many of the events can be attributed to misuse of the surgical stapler, from selecting the wrong staple size to clamping onto tissue that it too thin or thick. To mitigate the risks, hands-on training is required, ECRI advised.

The ranking also picked out point-of-care ultrasound as a top hazard, with a lack of oversight putting patients and facilities in jeopardy. While these devices are easy to use, convenient for bedside intervention and portable, safeguards for use are weak, with limited raining experience and skill requirements. Misdiagnosis and an over-reliance on the devices have been reported when a more comprehensive exam by an imaging specialist may have been indicated.

Within medical and dental offices, the infection risks from sterile processing errors are also a top hazard for 2020. That’s because insufficient attention to sterilization exposes patients to contamination and virulent pathogens.

See the full report here.

Amy Baxter

Amy joined TriMed Media as a Senior Writer for HealthExec after covering home care for three years. When not writing about all things healthcare, she fulfills her lifelong dream of becoming a pirate by sailing in regattas and enjoying rum. Fun fact: she sailed 333 miles across Lake Michigan in the Chicago Yacht Club "Race to Mackinac."

Around the web

The tirzepatide shortage that first began in 2022 has been resolved. Drug companies distributing compounded versions of the popular drug now have two to three more months to distribute their remaining supply.

The 24 members of the House Task Force on AI—12 reps from each party—have posted a 253-page report detailing their bipartisan vision for encouraging innovation while minimizing risks. 

Merck sent Hansoh Pharma, a Chinese biopharmaceutical company, an upfront payment of $112 million to license a new investigational GLP-1 receptor agonist. There could be many more payments to come if certain milestones are met.